Background: School mental health literacy programs, delivered at the universal level, are key to promoting positive behavioral health for all youth. Successfully implementing these programs requires adaptation to ensure the programs are aligned with contextual demands of the schools in which they are implemented. Yet, little is known about how to…

The leading cause of preventable disease, disability, and death in the United States is tobacco product use. The 2022 National Youth Tobacco Survey, which was completed in 2022, showed that the e-cigarette epidemic among youth continues to remain a public health threat. The survey revealed that over 2.5 million middle and high school students…

E-cigarettes are a popular type of nicotine product among youth in the United States. Hispanic youth, one of the fastest growing populations in the United States, are second only to white youth for e-cigarette use. Analysis of the Parents' Resource Institute for Drug Education data was conducted to determine past 30-day e-cigarette use among…

Background: Comprehensive health education in schools can effectively prevent drug use and related outcomes, but successful implementation remains challenging. Contextual determinants, including intervention-setting compatibility, focus on the intervention, available resources, and leadership support, influence implementation success. This study…

Following China's rapid socioeconomic transition, the sexual attitudes and behaviours of Chinese youth have changed considerably, raising serious concerns about their sexual and reproductive health (SRH). While comprehensive and high-quality formal sexuality education has been shown to lead to safer sexual behaviour, the delivery of formal SRH…

Reported rates of anxiety, depression, and lack of attention in adolescents have been on the rise for the past decade. The Centers for Disease Control reported that one in five high school students meets the criteria for a mental health disorder. School leaders are trying to address the growing challenge by providing students with tools they can…

The federal government funds grant programs designed to help youth avoid or reduce the risks associated with sexual initiation. In support of this approach, the Family and Youth Services Bureau within the Administration for Children and Families (ACF) began funding General Departmental Sexual Risk Avoidance Education (SRAE) grants in 2016. ACF…

The prevalence of mental health issues among adolescents is alarmingly rising. Using mobile phones as tools for promoting mental health can complement school-based health promotion efforts. However, for widespread reach, schools must systematically implement these tools and the students themselves may play an important role in achieving this.…

Social emotional learning (SEL) is a term that encompasses a set of essential life skills including self-awareness, self-management, social awareness, relationship skills, and responsible decision-making (Collaborative for Academic Social and Emotional Learning [CASEL], 2024, para. 1). Despite growing interest, many school districts struggle with…

LifeSkills Training is the only program to prevent substance use disorder among adolescents that has evidence of effects on substance use outcomes from multiple randomized controlled trials. Evaluations have shown that the version for middle school students reduces their use of substances in high school, but these studies were conducted in the…

Background: Most adolescents in the United States do not obtain sufficient sleep. Early school start times play a significant role in adolescent sleep deprivation. Most primary and secondary schools begin classes earlier than the 8:30 am. Perceived barriers to implementing a delayed school start time have been suggested in the literature but have…

Background: Vaping among American secondary students is increasing. School-based health education is well positioned to deliver messaging about the dangers of vaping and to develop refusal skills. CATCH My Breath (CMB) is an evidence-based vaping prevention curriculum that provides resources to create and sustain healthy behaviors. Given inherent…

Objective: The objectives of this study were to (1) measure the acceptability of Students As LifeStyle Activists (SALSA) Youth Voices (SYV) programme, (2) determine the skills gained by peer leaders from their participation in SYV and (3) determine whether peer leaders were able to design and implement an action to promote healthy eating and…

Background: Breakfast consumption often decreases as youth get older. The School Breakfast Program (SBP) provides an opportunity to intervene and increase breakfast consumption, especially among high school students. Methods: Project breakFAST implemented an expanded breakfast service at 12 high schools. In this longitudinal evaluation, school…

School health programs are united by their desire to promote health and health-related outcomes among youth. They are also united by the fact that their expected effects are contingent on successful program implementation, which is often impeded by a multitude of real-world barriers. Techniques used in management science may help optimize…